Individual provider Active NPI

Carolyn Joy Baker Connor, OD

  • Optometrist
  • Morgan Hill, CA
National Provider Identifier
1992854012
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10472T Issued in CA
Practice address
419 Vineyard Town Center
Morgan Hill, CA 95037
Phone
(408) 779-2266
Fax
(408) 779-5051
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10472T CA Primary

Addresses

Primary practice location

419 Vineyard Town Center
Morgan Hill, CA 95037

Mailing address

419 Vineyard Town Center
Morgan Hill, CA 95037
Phone (408) 779-2266

Other names 1

  • Dr. Carolyn Joy Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114001026 CA Practitioner - Optometry 3971792318 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark P Maher Optometric Corporation CurrentSince May 11, 2018 Accepting new patients

Locations

419 Vineyard Town Ctr
Morgan Hill, CA 95037
Phone (408) 779-2266

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark P Maher Optometric Corporation 2 clinicians

Practice addresses (Care Compare)

419 Vineyard Town Ctr
Morgan Hill, CA 95037-5631
Phone (408) 779-2266

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1992854012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 VINEYARD TOWN CENTER",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-779-2266",
            "fax_number": "408-779-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 VINEYARD TOWN CENTER",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-779-2266",
            "fax_number": "408-779-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER CONNOR",
        "first_name": "CAROLYN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10472T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BAKER",
            "middle_name": "JOY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.